Journal of Bone and Joint Infection
Journal of Bone and Joint Infection
JBJI
Articles | Volume 8, issue 3
Articles | Volume 8, issue 3
https://doi.org/10.5194/jbji-8-151-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
https://doi.org/10.5194/jbji-8-151-2023
© Author(s) 2023. This work is distributed under
the Creative Commons Attribution 4.0 License.
Articles | Volume 8, issue 3
Original full-length article
 | 
09 May 2023
Original full-length article |  | 09 May 2023

Is ultrasound-guided hip aspiration more successful than fluoroscopic-guided aspiration in diagnosing prosthetic joint infection?

Emily A. Treu, Daniel M. Cushman, John C. Wheelwright, Brenna E. Blackburn, Masaru Teramoto, and Michael J. Archibeck

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Latest update: 27 Oct 2025
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Short summary
Our study showed that ultrasound-guided aspiration of a total hip arthroplasty was more commonly successful and resulted in fewer dry aspirations than fluoroscopy. Ultrasound-guided aspiration yielded a larger volume of fluid than fluoroscopy, even when excluding dry aspirations. Ultrasound was more sensitive than fluoroscopy in diagnosing prosthetic joint infection (PJI) using culture results only and 2018 Musculoskeletal Infection Society (MSIS) International Consensus Meeting (ICM) criteria.
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